ryanadam

Hi Everyone! Long time lurker, first time poster. I just finished my medically supervised weight loss (along with the other insurance requirements) one week ago. I called to check with my surgeons/doctor's office to see if they submitted my pre-certification to my insurance. The lady was pretty rude to me and said she's a little behind and it would get submitted within 3-4 weeks. Is this normal? I don't see how it would be difficult to put the stuff together and fax it. I have Aetna and they have 4 requirements: 1. Proof of BMI over 40, 2. history of high BMI, 3. Psych Eval 4. medically supervised weight loss. My primary care doc took care of the first 2 things, the psych eval was nice and easy and the psych's report was sent to them months ago. So the only thing they need to do is put together some info about the med supervised weight loss. Seems like it shouldn't take more than a few days. Am I missing anything, or did anyone else have this issue? I'm going out of state for my surgery at Banner Gateway in Gilbert, AZ

@@PlBren you are a genius!!!! I spoke with the surgeon and he put in contact with a coordinator that is going to submit my pre-certify stuff to the insurance TODAY! Thanks! If you are running into this problem too - take that advice, contact the surgeon. After all, that's how they make their $$$ money.

Thank you for all the advice! @@PlBren I will ask to speak with the surgeon, He is awesome, so maybe he has more influence. I'm going to call today and see what I can make happen. I purposely chose a larger hospital network because I thought they would be on top of everything... urg. With the work plans I have later this year, taking time of for surgery/recovery will be impossible until Feb 2016. I really don't want to push it back that far. I'll let everyone know how this turns out.

I was wondering about this too. Very interesting. I'll make a little extra room in my new clothes budget for new kicks.

Congrats! and good luck

I'm in a very similar boat right now. Although, my surgeon has been fantastic, but the office staff have been a disaster. I work in the healthcare industry too, so I know it can be challenging, but you got to have at least some "heart" and understanding. I mean, this surgeon is coming to be all up in you... literally.

That's interesting about these pre-op diets. My nutritionist said it would be 2 weeks of liquid Protein only.